TBA

Registration: $215. per person for early registration—up to one month prior to start of workshop. Sign-ups after Thursday, September 1, 2011 will be $235. You may pay by check or by credit card. PayPal payments may only be made for the full amount

To register for this course, fill out the registration form and liability release below which needs to be sent via US mail. And either pay by check or Pay Online

Before Sept., 1st $215.00 After Sept., 1st $235.00

Deposit: A $125 deposit is required in order to register for this workshop and will be applied toward your tuition balance. You may also send the full fee to register. We recommend the deposit be paid early, as enrollments are limited.

Balance Due: Please send balance due by September 17th, 2011. All tuition matters must be complete before arriving at the workshop

Cancellation Policy: Cancellations will be processed as follows: notification received prior to September 8: full refund minus $60.00 administration fee; notification received prior to Thursday, September 15: 50% refund minus $75.00 administration fee.  No refunds on or after September 15. If you cancel 30 days or more before the workshop, you may apply the amount paid to another of my FSS workshops with no penalty.

Check Payment: To secure your registration, complete this form, and mail it with your deposit or full tuition check (made out to Beth Beurkens) in an envelope addressed to:

Beth Beurkens, P.O. Box 483, Ashland, OR 97520

Thank you for your registration.

We look forward to sharing The Shamanic Divination Training with you.

NAME:

PHONE NUMBER:

MAILING ADDRESS: (include city, state and zip code)

EMAIL ADDRESS:

WHERE DID YOU HEAR ABOUT THIS COURSE?

APPROXIMATELY, WHEN AND WITH WHOM DID YOU TAKE THE FSS WAY OF THE SHAMAN COURSE? (prerequisite for any advanced FSS Course)

LIABILITY RELEASE FORM

Date_____________________________

I will not hold Beth Beurkens, David Mojdehi, The Foundation for Shamanic Studies, Amy Cooper or The Shasta Yoga Center legally responsible for any injury, illness, accident or other misfortune that may occur in connection with my participation in the Shamanic Divination Training in Mt Shasta, CA on October 1 and 2, 2011.
Signature____________________________________________________________

Printed Name_________________________________________________________

CHECK PAYMENT

Secure your registration by putting your deposit or full tuition check (made out to Beth Beurkens) in an envelope addressed to:

Beth Beurkens, P.O. 483, Ashland, OR 97520